Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation

Many organizations are uncertain about how to proceed with designing a workable solution for medication reconciliation. This link provides helpful information and tools for designing or redesigning a medication reconciliation process.

Best Practice Intervention Package Medication Management

Leaders’ Role in Medical Device Safety (IHI)

This article provides recommendations and resources for improving medical device safety, including guidance for leaders, who are in a key position to ensure that medical device purchasing decisions engage core staff in the process, incorporating their input and device use experience to inform the process.

Medical Equipment Management

Medical equipment plays a vital role in healthcare; however, when equipment is not properly
used or maintained, it also can cause harm. In many instances, patient injuries occur because
of assumptions about who may use, calibrate, modify, or repair equipment.

Injuries from medical equipment also might arise from training gaps that don’t address preuse testing, preventive maintenance, malfunction reports (and incident reports), and repair

A commitment to safety is an essential element of any process related to the use of medical
equipment — whether the medical equipment is purchased, rented, borrowed, or leased.

-MedPro Group

SAFER Guides

The SAFER Guides consist of nine guides organized into three broad groups. These guides enable healthcare organizations to address EHR safety in a variety of areas. Most organizations will want to start with the Foundational Guides, and proceed from there to address their areas of greatest interest or concern. The guides identify recommended practices to optimize the safety and safe use of EHRs. The content of the guides can be explored here, at the links below, or interactive PDF versions of the guides can be downloaded and completed locally for self-assessment of an organization’s degree of conformance to the Recommended Practices. The downloaded guides can be filled out, saved, and transmitted between team members.

Top CDC Recommendations to Prevent Healthcare-Associated Infections

This printable factsheet provides key tips to prevent healthcare-associated infections, including CAUTIs, SSIs, CLABSIs, C. difficile, and MRSA.

Infection Control in Home Care

Although home care has expanded in scope and intensity in the United States in the past decade, infection surveillance, prevention, and control efforts have lagged behind. Valid and reliable definitions and methods for surveillance are needed. Prevention and control efforts are largely based upon acute-care practices, many of which may be unnecessary, impractical, and expensive in a home setting. Infectious disease control principles should form the basis of training home-care providers to assess infection risk and develop prevention strategies.

Healthcare – associated Infections Guidelines and Recommendations

This site includes guidance documents from the CDC to prevent healthcare-associated infections.

Preventing pressure ulcers in the home requires creative solutions by nurses

Protocols for Prevention of Pressure Ulcers in Home Care


PSO Case Law: Ungurian v. Beyzman, et al., 2020 PA Super 105:

A recent Pennsylvania case shows how courts narrowly interpret the PSQIA, ignoring the D & A pathway and the clear language of the Final Rule. (Ungurian v. Beyzman, et al., 2020 PA Super 105). The cour

Joint Commission New Sentinel Event Alert 61: Managing the Risks of Direct Oral Anticoagulants:

The Center for Patient Safety wants to share this important harm-prevention advice from The Joint Commission and its Sentinel Event Alert: Managing the Risks of Direct Oral Anticoagulants. The Joint Commis

CPS Safety Watch/Alert – Culture Can Improve the Control of Multi-Drug Resistant Organisms:

Issue: A number of events reported co CPS’ Patient Safety Organization (PSO) demonstrate poor handoff communication about the patients’ infectious disease status Examples include: Patient with

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The Center for Patient Safety believes that collaboration and sharing are the best ways to drive improvement. We strive to provide the right solutions and resources to improve healthcare safety and quality.